Rez Gioz P.

Apego January 23, 2014 N-40 Patients name: Antonieto, Buron Name of Drug Generic Name: clopidogrel Trade Name: Plavix Classification of Drug Therapeutic: Adenosine di phosphate (A DP) receptor antagonist

Antiplatelet Pregnancy Category B

Availability: Tablets 75 mg

Mechanism of Action Inhibits platelet aggregation by blocking ADP receptors on platelets, preventing clumping of platelets.

Indication Treatment of patients at risk for ischemic eventshistory of MI, ischemic stroke, peripheral artery disease Treatment of patients with acute coronary syndrome

Contraindications Contraindicated with allergy to clopidogrel, active pathological bleeding such as peptic ulcer or intracranial hemorrhage, lactation.
Use cautiously with bleeding disorders, recent surgery, hepatic impairment, pregnancy.

Side Effects CNS: Headache, dizziness, weakness, syncope, flushing CV: Hypertension, edema Dermatologic: Rash, p ruritus GI: Nausea, GI distress, constipation, diarrhea, GI bleed Other: Increased bleeding risk

Nursing Responsibilities

History: Allergy to clopidogrel, pregnancy, lactation, bleeding disorders, recent surgery, hepatic impairment, peptic ulcer Provide small, frequent meals if GI upset occurs (not as common as with aspirin). Provide comfort measures and arrange for analgesics if headache occurs. Take daily as prescribed. May be taken with meals.

may experience these side effects: Dizziness, lightheadedness (this may pass as you adjust to the drug); headache (lie down in a cool environment and rest; OTC preparations may help); nausea, gastric distress (eat frequent small meals); prolonged bleeding (alert doctors, dentists of this drug use).

Report skin rash, chest pain, fainting, severe headache, abnormal bleeding.

. Chief complaint: Right cerebral tumor left sided weakness